Individual
KATIE STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
49383 SHEBA RD, JACOBSBURG, OH 43933-9604
(740) 310-6683
Mailing address
41490 BROWN RD, BETHESDA, OH 43719-9701
(740) 310-6683
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004707
OH
Other
Enumeration date
02/15/2016
Last updated
11/15/2020
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